A bunion is seen as an enlargement or “bump” on the inside of the foot near the big toe. Often, the big toe will turn and begin to point toward the second toe. A bunion usually forms when the first metatarsal, one of the long bones of the foot moves away from the other metatarsals. The problem is often aggravated by narrow shoes, and a callus often forms on the side and underneath the bone and on the side of the big toe. The corrective procedure most often performed at the Laser Foot Surgery Center is as follows:
An incision approximately 1/8 inch in length is made over the “neck” of the first metatarsal bone, and using a tiny drill, a small cut is made across the bone enabling the doctor to reposition the top 1/3 of the bone to a straight position. Also, the area of the metatarsal bone where the bump was located is smoothed down. It is also necessary in most cases to “lengthen” one or more of the tendons (muscle attachments) to the big toe. In case of severe bunions, it may also be necessary to make a second cut in the bone of the big toe in order to further straighten that toe. Patients are able to walk right after surgery but it is usually necessary to wear a post-surgical shoe for 3 to 4 weeks. It is necessary to wear a surgical shoe for 3 to 4 weeks after the surgery.